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• <br /> • <br /> Oregon Depaitment of Environmental Quality <br /> DYes ONo <br /> • If you answered"No,"please describe below: <br /> • Sand filter appears to be free from surface water runoff and down spouts DYes ONo <br /> d Evidence of ponding in/on sand filter media surface !]Yes ONo <br /> e Lateral lines flushed and equal distribution verified DYes ONo <br /> ® Monitoring ports are present DYes ONo <br /> ® Surface access to manifold and valves DYes DNo <br /> m The sand filter has a pump DYes ONo - <br /> (If"No",skip the rest of section 6) <br /> • Pump vault appears to be watertight and in good condition DYes ONe ON/A <br /> • • •Pump is functional DYes DNo <br /> • Q Pump control mechanism is functional(floats,pressure transducer)DYes ONo <br /> High water alarm in pump vault(audible and visual)is working DYes DNo <br /> o Pump electrical components are sealed and watertight DYes ONe <br /> e' Additional Comments: <br /> • <br /> 7. Alternative Treatment Technology.System • <br /> The owner of an ATT system must maintain an annual service contract with a certified <br /> Maintenance Provider.Maintenance records should be available from the system owner,or the <br /> contracted Maintenance Provider.Please attach copies of the previous two years of <br /> maintenance records to this inspe tiori form. <br /> Note*Some ATT systems may have a WPCF permit.Please contact the local Health Department <br /> or the DEQ to obtain a copy of the WPCF permit. <br /> a The septic system is an Alternative Teeatmeut Technology(ATT)DYes ONo <br /> (If"No,"skip the rest of section 7) <br /> ®. Please provide the product name,system id number,and manufacturer name below: <br /> Product name - . <br /> System ID number <br /> Manufacturer name •• <br /> • <br /> Site Address: <br /> • <br /> • <br /> • - . . - -. Pagel <br />